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............, A~RD. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDIYYYY) 05/19/2008 PRODUCER THIS CERTIFICATION IS ISSUED AS A MATTER OF INFORMATION HRH ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 333 E. Butterfield Road, 5th Floor HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Lombard,IL 60148 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Phone (800)316-6705 Fax: (630) 324-2779 INSURERS AFFORDING COVERAGE NAtC# INSURED INSURER A: ACE American Insurance Company 22667 CENTERVILLE LIONS CLUB INSURER B: MINNESOTA INSURER C: INSURER 0: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~:: =1 TYPE OF INSURANCE POLICY NUMBER P~{i~:r~&Wf ~I~rl:h~~ LIMITS GENERAL LIABIlITY HDOG21745662 & 09/0112007 09/0112008 EACH OCCURRENCE $ 1,000,000 A X ~~~~~J9~~~nce) 1,000,000 COMMERCIAL GENERAL LIABILITY CSZ0302505 $ I CLAIMS MADE [8] OCCUR MED EXP IAny one person) $ 1,000 PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 - 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ I POLICY -n ~~& n LOC $ AUTOMOBILE LIABILITY HDOG21745662 & 09/0112007 09/01/2008 COMBINED SINGLE LIMIT INCLUDED A - $ ANY AUTO CSZ0302505 (Ea accident) - ALL OWNED AUTOS BODILY INJURY IN ABOVE - $ SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY - $ ~ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ ==i ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ =:J OCCUR D CLAIMS MADE AGGREGATE $ $ ==i DEDUCTIBLE $ RETENTION $ $ I_ WC STATU.; I 10TH WORKERS COMPENSATION AND TORY LIMITS ER EMPLOYERS' LIABILITY EL EACH ACCIDENT $ ANY PROPRIETORIPARTNERlEXECUTIVE OFFICER/MEMBER EXCLUDED? EL DISEASE. EA EMPLOYEE $ W yes, desClibe under EL DISEASE. POLICY LIMIT $ SPECIAL PROVISIONS beloW OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Provisions of the mli~ :trX to the named insured'StartiC~tion in the following activity dUrin\L the policy period shown above: 2008 CENTERVILLE FETE DES LACS 7.31 TO 8.3 AND 8.9, 2008 AT LAURIE LAM TT ORIAL PARK AND LAK PEL IER BOAT LAUNCH IN CENTERV LE CITY OF CENTERVILLE AND ANOKA COUNTY SHERIFFS OFFICE is included as an Addnionallnsured(s), but only wnh respect to General Liability arising out of the use of premises by the Insured shown above and not out of the sole neWiience of said addnional insured. PROVISIONS OF THE POLICY DO NO PPL Y TO THE SALE OR SERVING OF ALCOHOLIC BEVERAGES CERTIFICATE HOLDER CITY F ENTERVILLE, 1880 MAIN T., ENTERVILLE MN 55038 ANOKA COUNTY SHERIFFS OFFICE, 325 E. MAIN ST" ANOKA, MN 55303-2489 CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO 00 SO SHALL IMPOSE NO OBUGATlON OR LIABILITY OF ANY KIND UPON THE INSURER, rrs AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) @ACORDCORPORATION 1988